Individual
JOSELITO SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20824 WILDER AVE, LAKEWOOD, CA 90715-1918
(562) 305-9844
Mailing address
20824 WILDER AVE, LAKEWOOD, CA 90715-1918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8062
CA
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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